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Morbidities after maxillary swing nasopharyngectomy for recurrent nasopharyngeal carcinoma

Jimmy Yu Wai Chan¹, Raymond King Yin Tsang, William Ignace Wei

¹Department of Surgery, Division of Head and Neck Surgery, Centre for Nasopharyngeal Carcinoma Research, University of Hong Kong Li Ka Shing Faculty of Medicine, Queen Mary Hospital, Hong Kong SAR, China.

|March 29, 2014

Abstract

Background:

The purpose of this study was to investigate the complications after maxillary swing nasopharyngectomy.

Methods:

Salvage nasopharyngectomy was performed for 338 patients during 1990 to 2012. Patient and tumor characteristics, perioperative and intraoperative information, and long-term morbidities were analyzed.

Results:

There were significantly more patients with locally advanced tumors (rT3 and rT4) operated during the recent study period (2002-2012). However, the mean operative time and blood loss was significantly lower than in the earlier period (1990-2001). There was no hospital mortality. There was a significant reduction in the postoperative trismus and palatal fistula formation. Patients with locally advanced tumor, particularly those who required adjuvant chemoradiation, had a higher chance of facial numbness, nasal blockage, and swallowing problems after surgery.

Conclusion:

Salvage nasopharyngectomy via the maxillary swing approach is safe with acceptable long-term morbidities. Prevention of complications associated with surgery, particularly for patients with locally advanced tumors, is crucial to ensure the best outcome of surgery.

Keywords:

complications maxillary swing morbidities recurrent nasopharyngeal carcinoma salvage

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